Hospital Billing & Denials Expert — EPIC

County of San Mateo; San Mateo (CA); Sur place; USD 70 000 - 90 000; Plein temps

Résumé du poste

San Mateo Medical Center seeks an experienced Hospital Billing and Follow Up Specialist to manage complex billing, research payer guidelines, and resolve denied claims. This role requires strong EPIC experience and knowledge of Medicare Part A/B, UB-04/837I, and CMS-1500/837P processes.

The successful candidate will handle a caseload, communicate with fiscal intermediaries and physicians, maintain accurate records, and adhere to HIPAA.

Qualifications

• Experience in hospital billing and Medicare follow-up using EPIC.
• Two years of hospital and/or clinical billing and collections.
• Knowledge of Medicare Part A and Part B billing requirements.

Responsabilités

• Research and compliantly follow up on denied claims for services provided at SMMC hospital and clinics.
• Enter, retrieve, and interpret data using a hospital billing system.
• Prepare reports and maintain accurate records.
• Resolve billing questions with fiscal intermediaries, physicians, and others.

Connaissances

Hospital billing

Medicare follow-up

Data interpretation

Record keeping

Professional communication

Formation

One year of journey level office support experience

Outils

EPIC system

UB-04/837I

CMS-1500/837P

EPIC HER/Resolute

Description du poste

San Mateo Medical Center seeks an experienced Hospital Billing and Follow Up Specialist to manage complex billing, research payer guidelines, and resolve denied claims. This role requires strong EPIC experience and knowledge of Medicare Part A/B, UB-04/837I, and CMS-1500/837P processes.

The successful candidate will handle a caseload, communicate with fiscal intermediaries and physicians, maintain accurate records, and adhere to HIPAA.